1. HISTORY AND PHILOSOPHY
- 1a History
Blow enemas, Gravity enemas, Egyptian evidence, Bulb enemas, Microenemas; Essene text.; Kellog, Tilden, Sister Allen, D'Anne Coburn, Milo Siewert, Woods, Dotolo, Aquazone, Transcom systems.
- 1b Philosophy
Auto-toxicity and intestinal toxicity theories- Arbuthnot, Kellog, etc.; Naturopathic view of elimination; Modern view and evidence.
- 1c Controversies
Bowel perforation risk; Electrolyte disturbance; Water pressure; Blood pressure risks; Bowel flora risks.
2. ANATOMY & PHYSIOLOGY
- 2a Anatomy
Terminology; Overview of organs of elimination and functions. Waste products.
Whole of gastro-intestinal system anatomy and structure:
Abdominal anatomy - gut, liver, kidneys, spleen, ovaries, uterus, fallopian tubes, prostate. Pouch of Douglas ; Abdominal musculature; Blood vascular system; hepatic portal system; Lymphatics.
Detailed anatomy of the colon: ICV, caecum, ascending, transverse, descending, sigmoid, rectum, rectal valve, anus. Haemorrhoidal plexus, anal sphincters.
- 2b Physiology
Autonomic nerves: Para- and sympathetic pathways, influence on organs wrt. bowel and gut.
Mesenteric nerves - functions; Hormonal & neurological influence on nerves and peristalsis.
Nitrous oxide and nitrous oxide synthase; Neurological reflexes: ortho-colic, gastro-colic and others.
Motility: How the bowel moves, 24 hour motility traces; Brief introduction to motility abnormalities (hyper and hypo); introduction to radiological interpretation of X-rays and CT scans; Functions of the colon.
- 2c Tests
Blood pressure; Abdominal palpation; Auscultation; Percussion; Digital rectal exams.
Laboratory tests: Stool tests for digestion, parasites, etc. plus interpretation.
3. DISEASE STATES
- 3a Organic Diseases of the Colon
Aetiology and symptoms of; Inflammatory diseases: Ulcerative colitis, Crohn's disease.
Appendicitis; Diverticulosis/itis; Fissures; Haemorrhoids; CA colo-rectal
Conventional diagnostic methods of above, and orthodox treatments.
Complementary treatment protocols for above, incl. colonics.
- 3b Functional Conditions of the Colon
IBS; Constipation; ICV problems; Adhesions; Hernia
Diagnosis, symptoms, and orthodox/complementary treatment of the above.
- 3c Discussion on causation of the above
- 3d Stool types
Bristol chart; Significance of colour, texture and form.
4. INDICATIONS & CONTRA-INDICATIONS
- 4a Indications
IBS; Constipation; Bowel cleansing & fasting; secondary conditions.
- 4b Absolute contra-indications
Elevated B.P.; Malignancy; Inflammation; etc.
- 4c Relative contra-indication
- 4d Spiritual & Emotional
- 4e Special precautions for treating children
5. EQUIPMENT AND CLINIC SET-UP
- 5a Water filtration
what can be removed, importance of, suppliers
- 5b Gravity systems
room layout, diagrams, water heating, plumbing, resources
- 5c Machines
suppliers, room layout, plumbing
- 5d Diagram of treatment room set-up
- 6a The importance of adequate disinfection and sterilisation of re-usable equipment
Recommended sterilants, their use and procedure; Autoclaves; The importance of removing macroscopic debris; Soaking times; Tubing; ARCH recommendations.
- 6b Disinfection of machines
(Refer to suppliers handbooks)
- 6c Sanitation
Cleaning of therapy room, washroom facilities, gowns, towels, etc.
7. CLIENT HANDLING
- 7a Booking and reception
- 7b Case history taking - uniform case history form; detailed discussion on main points; provision of uniform case history forms
- 7c Referrals from other practitioners - Protocol. Reporting
- 7d Practitioner dress and manner
- 7e Draping